Pfudzi arthroscopy

Papfudzi arthroscopy kuvhiya kunoshandisa kamera diki inonzi arthroscope kuongorora kana kugadzirisa zvinyama mukati kana kutenderedza pfudzi rako. Arthroscope inoiswa kuburikidza nekacheka kadiki (incision) muganda rako.

Cuff rotator iboka remhasuru uye tendon yavo inogadzira cuff pamusoro pejoinhi yepafudzi. Iyi mhasuru uye tendon inobata ruoko mubendekete repafudzi. Izvi zvinobatsirawo fudzi kufamba munzira dzakasiyana. Iyo tendon iri muhotera cuff inogona kubvarura kana ikashandiswa zvakanyanya kana kukuvara.

Iwe ungangodaro unogamuchira general anesthesia yekuvhiya uku. Izvi zvinoreva kuti unenge wakarara uye usingakwanise kunzwa kurwadziwa. Kana, iwe unogona kuve nedunhu anesthesia.Ruoko rwako nebendekete zvichavezwa, semhedzisiro iwe haunzwe chero kurwadziwa. Kana iwe ukatambira yedunhu anesthesia, iwe zvakare uchapihwa mushonga wekukuita iwe uve nehope zvakanyanya panguva yekuvhiya.

Munguva yekuita, chiremba anovhiya:

• Inoisa arthroscope mupfudzi rako kuburikidza nekacheka kacheke. Iyo chiyero chakabatanidzwa kune vhidhiyo yekutarisa mukamuri yekushandisa.
• Inoongorora matukisi ese epafudzi rako pamwe nenzvimbo iri pamusoro pejoinhi. Aya matishu anosanganisira shwashwa, mapfupa, tendon, uye ligaments.
• Kugadzirisa chero nyama dzakakuvadzwa. Kuti uite izvi, chiremba wako anovhiya anoita 1 kusvika ku3 zvimwe zvidiki zvidiki uye anoisa zvimwe zviridzwa kuburikidza nazvo. Kuchema mumhasuru, tendon, kana shwashwa kwakagadziriswa. Chero chero nyama yakakuvadzwa inobviswa.

Chiremba wako anogona kuita imwe kana yakawanda yeaya maitiro panguva yekuvhiya kwako.

Rotator cuff kugadzira:

• Iwo mativi etendon anounzwa pamwechete. Iyo tendon inosungirirwa kune pfupa nemasuture.
• Madiki ma rivets (anonzi suture anchors) anowanzo shandiswa kubatsira kubatanidza tendon kune iyo pfupa.
• Iwo anchor anogona kugadzirwa nesimbi kana plastiki. Hazvidi kuti zvibviswe mushure mekuvhiyiwa.

Kuvhiya kwe impingement syndrome:

• Dzakakuvadzwa kana dzakaputirwa nyama inocheneswa kunze munzvimbo iri pamusoro pejoinhi yepafudzi.
• Iyo ligament inonzi coracoacromial ligament inogona kutemwa.
• Pasi pepfupa rinonzi acromion rinogona kuveurwa. Kukura kwemabhoni (spur) pazasi peacrionion kazhinji kunokonzera impingement syndrome. Iyo spur inogona kukonzera kuzvimba uye kurwadziwa mufudzi rako.

Kuvhiya kwekusagadzikana kwepafudzi:

• Kana iwe uine labrum yakabvaruka, chiremba anovhiya anoigadzirisa. Iyo labrum ndiyo shwashwa iyo inoteedzera iwo mupendero wefudzi akabatanidzwa.
• Ligaments inosungirirwa kunharaunda ino ichagadziriswa zvakare.
• Iyo Bankart lesion ndeye misodzi pane iyo labrum mune yepazasi chikamu chefudzi akabatana.
• A SLAP lesion inosanganisira iyo labrum uye iyo ligament pane yepamusoro chikamu chekubatana kwepafudzi.

Pakupera kwekuvhiyiwa, izvo zvinovharwa zvichavharwa nezvisungo uye zvakafukidzwa nekupfeka (bhandeji). Vazhinji vanovhiya vanotora mifananidzo kubva kune vhidhiyo yekutarisa panguva yekuita kukuratidza zvavakawana uye kugadzirisa kwakaitwa.

Chiremba wako anovhiya angangoda kuvhiyiwa pachena kana paine zvakawanda zvekukuvara. Kuvhura kuvhiya zvinoreva kuti uchave neakakura incision kuitira kuti chiremba anovhiya asvike akananga kumapfupa ako uye zvinyama.

Arthroscopy inogona kukurudzirwa pamatambudziko epafudzi aya:

• Chindori chakabvaruka kana chakakanganisika (labrum) kana mitsipa
• Kusagadzikana kwepafudzi, umo mubatanidzwa wepafudzi wakasununguka uye unotsvedza wakakomberedza zvakanyanya kana kutsemuka (kutsvedza kubva mubhora nejoka rakabatana)
• Iyo yakabvaruka kana kukuvara biceps tendon
• Iyo yakabvaruka rotator cuff
• Bonzo spur kana kuzvimba kwakatenderedza iro rotator cuff
• Kuzvimba kana kukuvara kwekubatana kwemajoini, kazhinji kunokonzerwa nechirwere, senge rheumatoid arthritis
• Arthritis yekuguma kweclavicle (collarbone)
• Tishu dzakasununguka dzinoda kubviswa
• Pafudzi impingement syndrome, kugadzira nzvimbo yakawanda yepafudzi kutenderera

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Njodzi dzefudzi arthroscopy ndeiyi:

• Kuomarara kwepafudzi
• Kukundikana kwekuvhiyiwa kubvisa zviratidzo
• Iyo yekugadzirisa inotadza kupora
• Kushaya simba kwebendekete
• Ropa mudziyo kana kukuvara kwetsinga
• Kukuvadza kwetiketi yefudzi (chondrolysis)

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kuti umbomira kutora vatete veropa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nemimwe mishonga.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana zvimwe zvehutano, chiremba wako anogona kukukumbira kuti uone chiremba wako anokubata iwe nekuda kwemamiriro aya.
• Udza mupiki wako kana wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire. Kusvuta kunogona kunonoka maronda uye kupora kwemapfupa.
• Udza chiremba wako nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora chero mishonga yaunokumbirwa kunwa nemvura shoma.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Tevedza chero kuburitswa uye kuzvichengeta-wega mirairo iwe yaunopihwa.

Kudzoreredza kunogona kutora 1 kusvika kumwedzi mitanhatu. Iwe uchafanirwa kupfeka chipfuramabwe kwevhiki yekutanga. Kana iwe uine yakawanda yekugadzirisa yaitwa, iwe ungatofanira kupfeka chipfuramabwe kwenguva refu.

Unogona kutora mushonga kudzora kurwadziwa kwako.

Paunogona kudzokera kubasa kana kutamba mitambo zvinoenderana nekuti kuvhiyiwa kwako kunosanganisirei. Inogona kubva pa1 vhiki kusvika kumwedzi yakati wandei.

Kurapa kwepanyama kunogona kukubatsira kuti udzore kufamba uye simba mupfudzi rako. Kureba kwerapi kunoenderana nezvakaitwa panguva yekuvhiyiwa kwako.

Arthroscopy inowanzo gumisa marwadzo mashoma uye kuomarara, mashoma matambudziko, kupfupika (kana kuripo) kugara muchipatara, nekukurumidza kupora pane kuvhiya kwakavhurika.

Kana iwe ukave nekugadziriswa, muviri wako unoda nguva yekuporeswa, kunyangwe mushure mekuvhiyiwa kweArthroscopic, sezvaungade nguva yekudzoka kubva pakuvhiya kwakashama. Nekuda kweizvi, yako yekudzoreredza nguva inogona kunge iri yakareba.

Kuvhiya kugadzirisa shwashwa misodzi inowanzoitwa kuita kuti fudzi riwedzere kugadzikana. Vanhu vazhinji vanopora zvizere, uye mapendekete avo anogara akatsiga. Asi vamwe vanhu vanogona kunge vachine kusagadzikana kwepafudzi mushure mekugadzirisa arthroscopic.

Kushandisa arthroscopy ye rotator cuff kugadzirisa kana tendinitis kazhinji kunoderedza marwadzo, asi iwe unogona kusadzorerazve simba rako rese.

SLAP kugadzirisa; SLAP lesion; Acromioplasty; Bankart kugadzirisa; Bankart lesion; Kugadziriswa kwepfudzi; Kuvhiyiwa kwepfudzi; Rotator cuff kugadzirisa

• Rotator cuff kurovedza
• Rotator cuff - kuzvitarisira
• Kuvhiya kwepafudzi - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika
• Uchishandisa fudzi rako mushure mekuvhiyiwa

• Pfudzi arthroscopy

DeBerardino TM, Scordino LW. Pfudzi arthroscopy. Mune: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopedic Sports Mushonga. 5 ed. Philadelphia, PA: Elsevier; 2020: chits. 39.

Phillips BB. Arthroscopy yepamusoro-soro. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 52.